DR. CAROLYN ANN LICHT PH.D.
NPI 1487894077
Psychologist in New York, NY

Active since February 23, 2009Opted out of Medicare · through Mar 12, 2028
7 W 86TH ST, SUITE 1AA, NEW YORK, NY 10024(646) 660-0884(646) 304-6804 Get Directions Write a Review

NPPES record last updated: April 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carolyn Ann Licht Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAROLYN ANN LICHT PH.D. (NPI 1487894077) is an individual psychologist in New York, New York, licensed in New York (017934) and active in the NPI registry since February 2009. She has opted out of Medicare through March 12, 2028.

NPPES Registry Identity

NPI1487894077
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CAROLYN ANN LICHTCredential: PH.D.
Location Address7 W 86TH ST, SUITE 1AANew York, NY 10024-3603
Mailing Address590 W End Ave, Apt. 2aNew York, NY 10024-1722 · (646) 660-0884 · Fax (646) 304-6804
Fax(646) 304-6804
Sole ProprietorYes
Enumeration DateFebruary 23, 2009
Last NPPES UpdateApril 17, 2013
NPI 1487894077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 017934
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
7 W 86TH ST, New York, NY 10024

Other Identifiers 1

Other26-4132188NY · Employer Identification Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Carolyn Ann Licht Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 12, 2026 through March 12, 2028.

Opt-Out Effective DateMarch 12, 2026
Opt-Out In Effect ThroughMarch 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
7 W 86TH ST, SUITE 1AA
NEW YORK, NY 10024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Licht's NPI number?

The NPI number for Carolyn Licht is 1487894077. It was assigned to this individual provider in the NPPES registry on February 23, 2009.

Where is Carolyn Licht located?

Carolyn Licht practices at 7 W 86th St Suite 1aa, New York, NY 10024. The listed phone number is (646) 660-0884.

What is Carolyn Licht's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Carolyn Licht enrolled in Medicare?

No. Carolyn Licht has opted out of Medicare through March 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carolyn Licht was last updated on April 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.